Controller

Summary

The Controller owns the accounting function for Clarity Clinic. This role runs the monthly close, produces accurate and timely financial statements, maintains the internal control environment, and coordinates the annual audit and tax filings across the organization’s legal entities. The Controller reports to the Vice President of Finance and partners closely with Billing and Reimbursement, Operations, People, and site leadership. This is an execution and ownership role, not a strategy seat. The Vice President of Finance owns finance strategy, capital planning, banking relationships, and executive reporting.

Essential Duties and Responsibilities

Close, Consolidation, and Financial Reporting

•     Own the monthly, quarterly, and annual close calendar, including task assignment, review, and on-time delivery.

•     Prepare and review journal entries, accruals, reconciliations, and supporting schedules.

•     Produce monthly financial statements for each legal entity and consolidated results, with variance analysis against budget and prior period.

•     Deliver a reviewed close package to the Vice President of Finance within the agreed number of business days after month end.

•     Maintain the chart of accounts, entity structure in the general ledger, and departmental and site-level reporting segments.

Internal Controls and Technical Accounting

•     Design, document, and maintain internal controls over financial reporting, including segregation of duties, approval thresholds, and review evidence.

•     Maintain written accounting policies and procedures and keep them current as the organization changes.

•     Research and document technical accounting positions under GAAP, including revenue recognition, leases, and accrual treatment for provider compensation, bonuses, and stipends.

•     Identify control gaps and reporting risks and raise them to the Vice President of Finance with a recommended remediation.

Audit, Tax, and Compliance Coordination

•     Serve as the day-to-day coordinator for the annual financial audit or review, including the PBC list, schedules, and auditor questions.

•     Coordinate federal, state, and local tax filings with external tax advisors, including entity-level returns and registrations.

•     Maintain fixed asset, lease, and debt schedules and the related disclosures.

•     Support compliance with applicable laws and regulations affecting financial operations, including Illinois privacy and data security requirements as they apply to financial systems and records.

Cash, Accounts Payable, and Payroll Accounting

•     Oversee accounts payable, vendor onboarding, expense reimbursement, and corporate card review.

•     Perform and review daily and weekly cash reconciliation and support short-term cash forecasting maintained by the Vice President of Finance.

•     Own payroll accounting, including payroll journal entries, accruals, multi-entity allocation, and reconciliation of payroll registers to the general ledger.

•     Partner with Billing and Reimbursement on the recording of cash receipts, patient refunds, and allowance and reserve estimates. Revenue cycle operations and collections remain owned by the Vice President of Billing and Reimbursement.

Analysis and Decision Support

•     Provide accounting-side support to the annual budget and periodic reforecast led by the Vice President of Finance.

•     Build and maintain financial models and ad hoc analyses requested by the Vice President of Finance, including cost impact analysis for organizational and compensation changes.

•     Partner with the FP&A Manager so that operational reporting and reported financial results reconcile.

Systems and Data

•     Own the accounting system of record and its integrations, including the general ledger, accounts payable workflow, and expense platform.

•     Pull and validate payroll and headcount data from Rippling for accounting and reporting use.

•     Work with Billing and Reimbursement to reconcile financial data sourced from AdvancedMD, which remains the source of truth for patient, billing, appointment, and clinical data.

•     Identify and implement process automation that shortens the close and reduces manual handling.

Minimum Requirements

•     Bachelor’s degree in Accounting, Finance, or a related field.

•     Minimum of 6 years of progressive accounting experience, including at least 2 years owning a full-cycle month-end close.

•     Demonstrated ownership of financial statement preparation under GAAP.

•     Experience designing and maintaining internal controls in a multi-entity or multi-site environment.

•     Advanced Excel skills, including complex formulas, pivot tables, and model building.

•     Experience coordinating an external audit or review.

Preferred Qualifications

•     CPA or CPA candidate.

•     Healthcare, behavioral health, or multi-site professional services experience.

•     Prior supervisory experience over accounting staff.

•     Experience with payroll accounting in a complex multi-job-code environment.

•     Experience with an accounting system conversion or a close process redesign.

Role Competencies

•     Accuracy and Attention to Detail. Completes work with a high level of accuracy and catches errors before they reach leadership.

•     Financial Reporting. Prepares and presents accurate and timely financial reports and supporting analysis.

•     Internal Controls. Builds and maintains sound fiscal management practices and control documentation.

•     Technical Accounting Judgment. Researches, documents, and defends accounting positions under GAAP.

•     Deadline Management. Runs the close calendar and delivers on committed dates without prompting.

•     Communication. Communicates clearly and professionally with leadership, team members, and external partners, and translates financial detail for non-finance audiences.

•     Systems and Technology. Uses accounting, payroll, and reporting systems effectively and improves how they are used.

•     People Leadership. Sets expectations, reviews work, develops staff, and manages performance consistently.

•     Compliance. Supports compliance with applicable laws and regulations, notably Illinois privacy and data security laws.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear or effectively communicate with others. The employee is frequently required to stand, walk, sit, and use a keyboard. The employee must occasionally lift or move up to 25 pounds.

Other Duties

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

Equal Employment Opportunity

We celebrate diversity when it comes to all backgrounds and identities, and we encourage applications from minorities, LGBTQ+ individuals, candidates of all ages, and nontraditional backgrounds.

Clarity Clinic is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.